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Biomedical subjects

R F Cucchiara

Publications and source records attributed to R F Cucchiara.

At least 55 records · Page 3Linked to original sources

Isoflurane and cerebrospinal fluid pressure in neurosurgical patients.

The effect of isoflurane on cerebrospinal fluid pressure (CSFP) was determined in 20 patients undergoing craniotomy for intracranial supratentorial neoplasm or hepatoma. In 15 of these patients, following endotracheal intubation, hyperventilation sufficient to result in PaCO2 25-30 torr was begun simultaneously with the introduction of 1 per cent isoflurane. In the remaining five patients ventilation was equivalent, but normocapnia was maintained by adding CO2 to the inspired gases. In the hypocapnic patients CSFPs did not increase above awake values (range 5-45 torr) following isoflurane administration. In the normocapnic patients (CSFPs consistently increased. In three of these five patients the increases were precipitous, but were corrected rapidly by establishment of hypocapnia. The authors conclude that the known cerebral vasodilator properties of isoflurance can be countered effectively by hypocapnia. Furthermore, unlike the situation with halothane, it is not necessary to establish hypocapnia prior to introducing isoflurane in order to avoid CSFP increases.

Adult↗

Time required and success rate of percutaneous right atrial catheterization: description of a technique.

The use of an intracardiac catheter is considered useful in the diagnosis of air embolism during surgical operations. Under electrocardiographic (ECG) control a right atrial catheter was placed through the right antecubital (basilic) vein in 200 patients undergoing posterior fossa or cervical operations in the sitting position. The overall success rate for this technique was 97 per cent. Half were successfully placed within five minutes, and 92 per cent within 15 minutes.

Cardiac Catheterization↗

Transluminal angioplasty for basilar artery stenosis.

This report describes for the first time the successful use of transluminal balloon-catheter dilation (angioplasty) for high-grade basilar artery atherosclerotic stenotic lesions in two patients with frequent, severe, progressing symptoms that were unresponsive to anticoagulant therapy. Excellent angiographic and short-term clinical results have been obtained. These results and the relative frequency of these lesions justify further evaluation of this approach.

Arterial Occlusive Diseases↗